Delirium tremens ('DTs')
This is a more severe withdrawal reaction after stopping alcohol. It occurs in about 1 in 20 people who have alcohol withdrawal symptoms about 2-3 days after their last drink. Symptoms include: marked tremor (the shakes) and delirium (agitation, confusion, and seeing and hearing things that are not there). Some people have convulsions. Complications can develop such as dehydration and other serious physical problems. It is fatal in some cases.
Should I cut back, or should I stop alcohol completely?
Stopping alcohol completely is usually best if you are, or have been, alcohol dependent. Also, if you have a condition due to alcohol such as liver damage. Otherwise, reducing to a safe level of drinking is an option. (A note of caution: do not stop alcohol suddenly if you are alcohol dependent. Some withdrawal effects can be severe. It is best to cut down gradually and then stop, or see your doctor about a 'detox' see later in this leaflet.)
If you are trying to cut down, some tips which may help include the following:
- Consider drinking low alcohol beers, or at least do not drink 'strong' beers or lagers.
- Try pacing the rate of drinking. Perhaps alternate soft drinks with alcoholic drinks.
- Consider cutting back on types of social activity which involve drinking. Perhaps try different social activities where drinking is not a part. Perhaps reduce the number of days in the week where you go out to drink.
- Resist pressure from people who encourage you to drink more than you want to.
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Steve Mills, over 2 years
Actually, stopping alcohol use if you are physically dependent can be fatal. If someone requires an in-patient detox a GP might well recommend that they continue their alcohol use at pretty much the usual levels in order to avoid withdrawal and possible fiiting or seizures. Your article here on DT's may need a bit more work.
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